Racial Disparities in Hospital Length of Stay for Asthma: Implications for Economic Policies

Asthma is one of the most common health burdens on American families. An understanding of how the costs of asthma are distributed across communities is essential to realizing cost savings from preventative care. We model the household’s utilization of hospital services using Grossman’s health production framework. We then test for differences in asthma-related hospitalizations by race using inpatient records from the Massachusetts Division of Health Care Finance. On average black and nonwhite-Hispanic patients stayed between one-third and one-fourth of a day less than similar white patients which translates into a difference in expenditures of $8 million over 1994–2002. The difference in expenditures raises questions for market-based methodologies to value health and for policies directed at reducing inequalities in health outcomes.     

Colonial Legacies and the Struggle for Social Membership in a National Community: The 1946 People's Uprisings in Korea

The historical experience of colonialism exerts a profound influence upon emergent postcolonial societies. Yet colonial legacies are not passed on in precisely the same way; rather, they are contingent on particular historical processes. In the case of Korea, Japanese colonialism gave way to a brief liberation phase that was followed by another foreign occupation (the U.S. in the south and the U.S.S.R. in the north) during which efforts were made to rebuild the political community. Focusing on the 1946 people's uprisings, the largest popular social movement during the U.S. occupation period, as a pivotal historical event, this article examines why the primary target of the uprisings was not the foreign military government but fellow Koreans, especially police officers, bureaucrats, and wealthy landlords, thereby revealing how Japanese colonial rule influenced the movement's choice of targets as well as its eventual failure. Through this historical analysis, I demonstrate that internal conflicts among Koreans, which were created and rearticulated through Japanese colonial rule, became critical sources of social and political struggles under the American occupation, the important consequence of which lies in the creation of a pattern of internal exclusion that characterized South Korea's post‐war political trajectory.     

The Companies We Keep: Effects of Relational Embeddedness on Organizational Performance1

Building on first‐hand qualitative and quantitative data collected from computer motherboard manufacturers, this research proposes a contingency argument for the effects of relational embeddedness on organizational performance. Results show that the effects of embeddedness vary depending on the specific dimension of embeddedness, organizational age, performance measures, and the type of supplier relations, and that the concept is far more complex than previous literature suggests. Two main conclusions are that a closer supplier relationship improves both organizational growth rate and production quality for younger organizations, while in chipset supplier relations, a highly committed supplier worsens production quality more for younger firms.     

Can the American Dream Survive the New Multiethnic America? Evidence from Los Angeles1

Drawing from a survey conducted in Los Angeles, we examine perceptions of achievement and optimism about reaching the American dream among racial, ethnic, and nativity groups. We find blacks and Asian Americans less likely than whites to believe they have reached the American dream. Latinos stand out for their upbeat assessments, with naturalized citizens possessing a stronger sense of achievement and noncitizens generally optimistic that they will eventually fulfill the American dream. We discuss patterns of variation between the racial and ethnic groups as well as variation within each group. Notwithstanding interesting differences along lines of race, ethnicity, and nativity, we find no evidence that the nation’s changing ethnic stew has diluted faith in the American dream.     

Rising to the Challenge: Addressing the Concerns of People Working in the Sex Industry

En septembre 2010, trois dispositions du Code criminel relatives à la prostitution ont été jugées inconstitutionnelles parce qu'elles contribuent à mettre en danger les personnes qui travaillent dans l'industrie du sexe (PTIS). En utilisant des données provenant d'études effectuées auprès de PTIS et d'informateurs clés dans plusieurs villes canadiennes, nous examinons trois domaines liés à la santé et à la sécurité des travailleuses : la santé et la sécurité au travail, les perceptions et les comportements à l'égard des travailleuses et l'accès aux services essentiels. Pour traiter ces questions, nous devons aller au‐delà de la décriminalisation. Nous concluons que l'instauration d'un cadre de droits des travailleurs et de réduction de préjudices améliorerait grandement notre capacité d'aborder les problèmes liés aux droits et au bien‐être physique, social et mental des PTIS. In September 2010, three Canadian Criminal Code provisions related to prostitution were ruled unconstitutional because they increase the risk of harm to people working in the sex industry (PWSI). Using data from studies with PWSI and key informants conducted in several Canadian cities, we examine three domains related to worker health and safety: occupational health and safety, perceptions of and behaviors toward workers, and access to essential services. Addressing these issues necessitates moving beyond decriminalization. We conclude that using a harm reduction/labor rights framework would enhance our ability to address issues related to the physical, social, and mental well‐being as well as rights of PWSI.     

The Social Construction of Infertility

Health and illness are not objective states but socially constructed categories. We focus here on infertility, a phenomenon that has shifted from being seen as a private problem of couples to being seen as a medical condition. Studying infertility provides an ideal vantage point from which to study such features of health care as inter‐societal and cross‐cultural disparities in health care, the relationship between identity and health, gender roles, and social and cultural variations in the process of medicalization. Infertility is stratified, both globally and within Western societies. Access to care is extremely limited for many women in developing societies and also for marginalized women in some highly industrialized societies. We also discuss the ways in which responses to infertility are influenced by the process of self‐definition. The experience of infertility is profoundly shaped by varying degrees of pronatalism and patriarchy. In advanced industrial societies, where voluntary childfree status is acknowledged, many women experience infertility as a ‘secret stigma’; in other cultures, where motherhood is normative for all women, infertility may be impossible to hide. In the West, acceptance of the medical model is virtually hegemonic, but in other societies medical interpretations of infertility coexist with traditional interpretations.     

Cultural Imperialism Versus Globalization of Culture: Riding the Structure‐Agency Dialectic in Global Communication and Media Studies

This article discusses and analyzes the dialectic between so‐called cultural imperialism and globalization of culture perspectives in global communication and media studies. At an extreme, cultural imperialism is cast as the international extension of the long‐discredited hypodermic needle theory which views cultural consumers as passive automatons. At the other end of the extreme, the globalization of culture perspective is cast as a wildly postmodern standpoint in which free‐floating individuals are said to be able to make an infinite set of localized meanings from cultural products. There has been a growing trend among many global communication and media scholars to locate a productive middle ground between cultural imperialism and globalization of culture. In this author’s view, the most effective melding of the two perspectives would situate local, creative appropriation of cultural objects against the backdrop of larger, hegemonic regional and global macro‐forces. This approach ought also to acknowledge the many complexities that characterize the intersections among globalization, culture, and media, including the ways in which the local, national, regional, and global constitute one another and the ways in which resistance to local hegemony can paradoxically fuel national or global hegemony.